慢性阻塞性肺部疾病腹腔镜胆囊切除围术期综合干预临床意义

目的探讨综合干预措施对合并慢性阻塞性肺部疾病（COPD）的胆囊炎患者腹腔镜胆囊切除术（LC）后的肺功能影响及临床应用价值。方法筛选中度以上COPD患者3 166例,随机分为干预组和对照组。LC术前、术后,检测肺功能,并观察LC术后肺部感染的发病率。结果 （1）两组手术前后FVC、FEV1及MVV比较,差异有统计学意义（P〈0.05）,两组间差值比较,差异有统计学意义（P〈0.01）。（2）两组术后肺部感染率比较,差异有统计学意义（P〈0.05）。结论围术期进行综合干预,能有效改善COPD患者的肺功能,减少术后肺部感染率。

Laparoscopic cholecystectomy in patients with COPD perioperative compositive intervention

Objective To discuss the influences to pulmonary function and clinical applicational value of chronic obstructive pulmonary disease（COPD） accompanied with cholecystitis after laparoscope cholecystectomy（LC）.Methods 3166 COPD patients were divided into interventional group and control group in random.Pulmonary function and arterial blood gas analysis were tested before and after the LC.The incidence of pulmonary infection was observed after the operation at the same time.Results 1.There was significantly different about FVC、FEV1 and MVV between two groups before and after the LC（P0.01）.Conclusion The incidence of pulmonary infection between two groups was significantly different.It was proved that compositive interventional steps can improve the pulmonary function and decrease the incidence of the pulmonary infection.